Glaucoma is the second leading cause of blindness worldwide which affects 60 million people globally and 2 million+ in the United States. Glaucoma disproportionately affects women, African Americans, Hispanics and Asians. As the population ages, more patients become glaucoma suspects or have glaucoma. Of increasing concern is that glaucoma can also be a “silent disease” (50% of patients don’t know they have glaucoma) and yet can have a strong impact on independence and activities of daily living.
Glaucoma is the second leading cause of blindness worldwide which affects 60 million people globally and 2 million+ in the United States. Glaucoma disproportionately affects women, African Americans, Hispanics and Asians. As the population ages, more patients become glaucoma suspects or have glaucoma. Of increasing concern is that glaucoma can also be a “silent disease” (50% of patients don’t know they have glaucoma) and yet can have a strong impact on independence and activities of daily living.
We follow multiple aspects for patients who have been diagnosed with glaucoma or being followed as glaucoma suspects. Ophthalmic examinations for glaucoma include visual acuity, intraocular pressure, computerized optic nerve analysis, and formal visual visuals. We may follow the health of the optic nerve with repeat computerized analysis and photographs to better assess for small changes in the optic nerve. These technologies can measure critical layers of the optic nerve to 1/1000 of a millimeter.
Patients who have glaucoma or borderline intraocular pressures may benefit from ocular medications, laser therapy (Selective Laser Trabeculoplasty), or surgery in order to maintain intraocular pressure and protect the optic nerve and visual fields.
Selective Laser Trabeculoplasty (SLT)
Selective Laser Trabeculoplasty (SLT) has become a first-line option for patients with primary open angle glaucoma who need a procedure to help lower intraocular pressure. Regional Eye Associates has an SLT machine in the Cherry Hill office. Dr. Miano & Dr. Goel perform both this procedure. Here is a patient friendly video which explains the principles of SLT.
Here is an excellent link to the Glaucoma Research Foundation “Selective Laser Trabeculoplasty: 10 Commonly Asked Questions” here.
Glaucoma and Cataracts (Trabecular Bypass Stents)
Patients with cataracts and glaucoma have the opportunity to have a glaucoma procedure at the time of cataract surgery to help lower the intraocular pressure (eye pressure). Here is an excellect 4 minute video, produced by the American Academy of Ophthalmology, with an overview of trabecular bypass stents for glaucoma.
iStent Inject
Regional Eye Associates is delighted to offer the iStent inject to appropriate patients who have primary open angle glaucoma and wish to lower their eye pressure at the time of cataract surgery.
